School Application

Date of Birth(Required)

Age Last Birthday(Required)

Home Telephone

Name of Parent 1/Guardian(Required)

Occupation and Title

Business Phone

Cell Phone(Required)

Email(Required)

Name of Parent 2/Guardian

Occupation and Title

Business Phone

Cell Phone

Email

Child’s Previous School Experiences (please include Day Care, Sports, Arts)

From what source have you heard of this school

Has your child been referred for testing of any kind (academic, psychological, speech, hearing, etc.)?

Names and ages of brothers and sisters

Does your child have any allergies or health conditions we should be aware of?

Remarks (please add any information which you feel would be helpful to the school)

PLEASE READ CAREFULLY

Pupils are registered from the time they enter until the end of the school year.
A personal interview with Parents/Guardians and child is required for admission. After receipt of this application, the school will contact the Parents/Guardians to schedule an interview at a mutually convenient time. No interview is required for re-enrollment.
No refunds, adjustments or deductions of any kind will be made from fees or tuition paid due to absence, dismissal or withdrawal of any student during the school year. A student may withdraw from the school at any time with 30 calendar days prior written notice received by the school.
The school reserves the right to exclude, withdraw, or dismiss any student from classes or from the school for any cause whatsoever including but not limited to violation of school rules, disruptive behavior by a students or student’s parents, or nonpayment of fees and tuition.
This application may be canceled provided written notice by registered or certified mail is received by this school within 10 calendar days of the date this contract is signed.

Total

Credit Card

Card Details

Cardholder Name

Admissions